JONATHAN LEBOLT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027654

License Status

ACTIVE

Business

First Name

JONATHAN

Last Name

LEBOLT

Business Name

JONATHAN LEBOLT

Original Issue Date

08/28/2024

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

LIVINGSTON

State

Zip

07039

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

09/11/2025